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REXBURG CHIROPRACTIC CENTER

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Company Details

Name: REXBURG CHIROPRACTIC CENTER
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 01 Aug 2016 (9 years ago)
Entity Number: 568697
Place of Formation: IDAHO
File Number: 0000568697
ZIP code: 83440
County: Madison County
Mailing Address: 105 W MAIN ST REXBURG, ID 83440

National Provider Identifier

NPI Number:
1407014434

Authorized Person:

Name:
DR. DANA R MILLER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2083568658

Filing

Filing Name Filing Number Filing date
Initial Filing 0000568697 2016-08-01

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State